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Outline
1. Indonesian Profile
2. ICT Environment
3. Regulation and Policy
4. Pilot Project Teleradiology
and Telecardiology
5. Future Plan and
Development
INDONESIA Area
Area :: South
South East
East Asia
Asia
22 million
million km
km (736
(736 000
000 sq.
sq. mi.)
mi.)
17,508
17,508 islands
islands
1.128
1.128 tribes
tribes
33
33 Provinces,
Provinces, 497497 distict/municaipalities
distict/municaipalities
(199
(199 district
district behind
behind dev.)
dev.)
92
92 small
small Islands
Islands at
at the
the borderlines
borderlines with
with
neighboring
neighboring countries
countries
Ring
Ring of
of fire
fire
Indonesian Profile
http://www.who.int/countries/idn/en/
Health Disparity
Maldistribution of specialist doctors especially at rural
area
Lack of hospital beds around 90 thousands beds (from
ideal 1:1000 population)
In 18 Province (55%), has over 94,1% households
located more then 5 km to health facility
Geographic barriers (mountainouse, islands)
Health expenditure proportion to GDP is less 5%
Quality of services
40% uninsured
Blackbone Fiber optic access
INDOSAT
TELKOMSEL
AXIS
http://www.cellmapper.net/map
Global fixed broadband acces
Indonesia coverage
around 1% (not
seeing in the chart
Assessment eHealth with COIA tools, 2013
2
SERVICES (applications)
(2) Needs a lot of
strengthening;
(3) Needs some
strengthening;
(4) Already present, no
action needed
2
INFRA-
STRUCTURE 2
STANDARDS
1-2 2
PROTECTION GOVERNANCE
2
POLICY
Director General Decree No. HK.02.03/V/0209/2013 Pilot Project & Health Care Facilities on Telemedicine
Criteria Selection Sites & Centres
5
4
9 3
2
10
6 7
1
BANDUNG PROVINCE
4 5 6 8) Ujung Berung District
Hospital
8) Central Cimahi District
JAVA ISLAND Hospital
9) Sumedang District
+ 10 site with teleradiology
Hospital
Server
Reading room at Dept of
Radiology, Cipto Hospital
Server
Control room of Tele-ECG at the Emergency
Care Unit in Cardiac Care Centre of Harkit
Hospital
2
5
3
4
menkes
Jakrta
Meriah
ttinggi
ambas
Lingga
ambua
BIMA
kumba
Pisau
0 8 15 23 30
Technical Problems
High operational cost for ECG machine
(voucher, consumable of electrodes) and
weak battery life
Unstable 3G connection in sites (min > 35%),
even 70% tele-ECG sites are 3G blank spot
Challanges of Telemedicine Implementation
Policy and regulation not yet established
Infrastructure
Internet connection coverage at east Indonesia
Limited 3G connection access in some sites
Lack of IT infrastructur at the provincial hospital
Human Resources
Lack of awareness to technology
Device
Product driven (dependency) not base on what we need,
but what we can do with the product
Sustainability
Integrating the telemedicine service to the national health
insurance scheme (year 2014)
Decentralization tarif agreement
Potential Development on Telemedicine
1) Developing National Health Information System
Ministry of health
Private cloud development plan
Providing intranet connection coverage/VPN 2013:
497 (all) local health office, 128 Kbps, VoIP service
33 (all) Provincial health office (33), 512 Kbps, VoIP service
45 (all) MoH technical unit (health facilities), 128 Kbps
559 Local hospitals, bandwidth 128 Kbps